Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Marie Prussen, PA

Individual provider Physician Assistant · NPI 1164775656

Heather Marie Prussen, PA is a Physician Assistant in Garden City, New York. Qualified in 2008, 18 years ago. Practices with Kumar Medical Pain Management PC, a 3-clinician group. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 Garden City Plz
Garden City, NY 11530-3301
Phone: (516) 663-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016089 (NY)

Record details

NPI number1164775656
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 21, 2012
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Kumar Medical Pain Management Pc — 3 clinicians
Accepts Medicare assignment Not indicated

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